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CMS FOND DU LAC
NPI 1346620952
Clinic/Center - Methadone in Fond Du Lac, WI

Active since June 09, 2015
23 W SCOTT ST, FOND DU LAC, WI 54935(920) 926-0101 Get Directions Write a Review

NPPES record last updated: February 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 10, 2024, Oct 20, 2021, Sep 30, 2021 and 4 more (7 updates tracked since 2019).

About Cms Fond Du Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CMS FOND DU LAC (NPI 1346620952) is a healthcare organization registered as a methadone in Fond Du Lac, Wisconsin and active in the NPI registry since June 2015. The organization lists Cindy Gaither, Vp Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1346620952
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePREMIER CARE OF WISCONSIN, LLC.
Location Address23 W SCOTT STFond Du Lac, WI 54935-2342
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886 · Fax (480) 687-7361
Phone(920) 926-0101
Organization SubpartNo
Authorized OfficialCindy GaitherVp Revenue Cycle Mgmt · (602) 248-8886
Enumeration DateJune 9, 2015
Last NPPES UpdateFebruary 10, 20247 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2024
✔ NPI 1346620952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 3075 (WI)
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
23 W SCOTT ST, Fond Du Lac, WI 54935
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Other Names 1

Doing Business AsCms Fond Du Lac

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health and more.Insurance ›

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

ROBIN L HESTER RN
Registered Nurse (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
MS. MARY LEE CROOK LPN
Licensed Practical Nurse
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
LAURA SCHULTZ RN
Registered Nurse (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
DONNA LEHNER RN
Registered Nurse (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
BRITTNEY SCHOMMER LPN
Licensed Practical Nurse
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
VALERIE TURPIN LPN
Licensed Practical Nurse
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
DANIELLE LISNEY
Registered Nurse (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
ALICIA NEITZEL
Counselor (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
KODI DENISE BARTHELS SAC-IT
Counselor (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
MRS. JILL MARIE BETHE RN
Registered Nurse (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
JEANNETTE SROKA RN
Registered Nurse (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
AFRICA MARQUITIA LUCAS SAC-IT
Counselor (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
NICKI TONEY RN
Registered Nurse
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
KATHY HOOVER SAC-IT
Counselor (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
ALEXIS LOR RN
Registered Nurse (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
MS. KAY L CHRISTIANSON CSAC CLINICAL SUBSTA
Counselor (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
LESLIE MAE RADDATZ LPC, SAC-IT
Counselor (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
KIMBERLY MOLDENHAUER NP
Nurse Practitioner
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
ALLI M FALKENTHAL
Registered Nurse
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101
KELLAN CHRISTIAN HENNING
Counselor (Addiction (Substance Use Disorder))
23 W SCOTT ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-0101

Frequently Asked Questions

What is PREMIER CARE OF WISCONSIN, LLC.'s NPI number?

The NPI number assigned to this healthcare provider is 1346620952, enumerated as an "organization" on June 09, 2015.

Where is the provider located?

The provider is located at 23 W SCOTT ST FOND DU LAC, WI 54935 and the phone number is (920) 926-0101.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.

What insurance does PREMIER CARE OF WISCONSIN, LLC. accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica, Network. Please consult your insurance carrier or call the provider to verify.